University| Actual Exam Questions and Correct
Answers and Explanations
Question 1: Which FSH value is consistent with complete cessation of ovarian function?
A) <10 IU/L
B) 10–20 IU/L
C) 25–100 IU/L
D) >100 IU/L
Correct Answer: C) 25–100 IU/L
Explanation: FSH levels of 25–100 IU/L indicate menopause, reflecting complete cessation of
ovarian function due to low estrogen feedback.
Question 2: Diabetes is one of the leading causes of which disease?
A) Chronic kidney disease
B) Rheumatoid arthritis
C) Osteoporosis
D) Asthma
Correct Answer: A) Chronic kidney disease
Explanation: Diabetes is a leading cause of chronic kidney disease due to diabetic nephropathy
from prolonged hyperglycemia.
Question 3: Which antihypertensive medication can be used to treat hot flashes in menopause?
A) Lisinopril
B) Clonidine
C) Metoprolol
D) Amlodipine
Correct Answer: B) Clonidine
,Explanation: Clonidine, an alpha-2 agonist, reduces hot flashes by modulating central
sympathetic activity, unlike other listed antihypertensives.
Question 4: What is the least diabetogenic statin?
A) Atorvastatin
B) Rosuvastatin
C) Simvastatin
D) Pitavastatin
Correct Answer: D) Pitavastatin
Explanation: Pitavastatin has the lowest risk of causing or worsening diabetes compared to other
statins, based on clinical studies.
Question 5: Bence Jones proteins found in a urinalysis may be indicative of:
A) Multiple myeloma
B) Chronic kidney disease
C) Nephrotic syndrome
D) Bladder cancer
Correct Answer: A) Multiple myeloma
Explanation: Bence Jones proteins (light chains) in urine are a hallmark of multiple myeloma, a
plasma cell malignancy.
Question 6: What is the first-line medication for new type 2 diabetes?
A) Insulin
B) Metformin
C) Sulfonylureas
D) SGLT2 inhibitors
Correct Answer: B) Metformin
Explanation: Metformin is the first-line therapy for type 2 diabetes due to its efficacy, safety,
and low cost, per ADA guidelines.
, Question 7: Protein on a urinalysis usually has a renal pathology, specific to which renal
structure?
A) Glomerulus
B) Proximal tubule
C) Loop of Henle
D) Collecting duct
Correct Answer: A) Glomerulus
Explanation: Proteinuria typically indicates glomerular damage, allowing proteins like albumin
to leak into the urine.
Question 8: What is the HbA1c goal for diabetic patients with complex health status (multiple
chronic conditions)?
A) <6.5%
B) <7.0%
C) <8.0%
D) <9.0%
Correct Answer: C) <8.0%
Explanation: For patients with complex health status, ADA recommends a less stringent HbA1c
goal of <8.0% to balance glycemic control and hypoglycemia risk.
Question 9: Type 2 diabetes factors include? (Select all that apply)
A) Obesity
B) Family history
C) Autoimmune destruction
D) Sedentary lifestyle
Correct Answers: A, B, D
Explanation: Obesity, family history, and sedentary lifestyle are key risk factors for type 2
diabetes. Autoimmune destruction is associated with type 1 diabetes.
Question 10: Gastric bypass surgery can be performed on a patient with a BMI of: